MGMA 2017 Annual Conference

E&M Documentation: Strategies for Success (Room Ballroom C)

11 Oct 17
10:00 AM - 12:00 PM

Tracks: Federal Laws, Regulations, and Advocacy

"If it isn't documented, it didn't happen!" has been a popular mantra among coding professionals for years. This two-part presentation will review common documentation and coding pitfalls and discuss simple tips for improving medical record documentation which, in return, will improve patient safety, quality of care and reimbursements. The first part of this presentation will guide you through a common-sense approach to understanding E&M documentation guidelines, the difference between 1995/1997 guidelines and other mysterious concepts of accurate documentation and coding of E&M visits. During the second half, we will delve into the world of Hierarchical Condition Category (HCC) coding and how it relates to quality outcomes and reimbursement as we shift away from the fee-for-service world.